| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,205 |
18,808 |
$4.63M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,581 |
8,643 |
$1.77M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,352 |
7,345 |
$1.65M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,195 |
4,188 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,505 |
3,331 |
$838K |
| 99383 |
|
2,950 |
2,942 |
$623K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,140 |
928 |
$253K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,040 |
909 |
$218K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,308 |
3,926 |
$207K |
| 99384 |
|
875 |
875 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
628 |
$132K |
| 90834 |
Psychotherapy, 45 minutes with patient |
574 |
428 |
$126K |
| 90837 |
Psychotherapy, 53 minutes with patient |
512 |
428 |
$115K |
| 97802 |
|
5,753 |
5,683 |
$90K |
| 97803 |
|
5,706 |
5,671 |
$67K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
228 |
227 |
$62K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,898 |
2,893 |
$62K |
| 90832 |
Psychotherapy, 30 minutes with patient |
183 |
120 |
$40K |
| 99490 |
Ccm add 20min |
1,164 |
1,161 |
$35K |
| G9153 |
Mapcp demonstration - physician incentive pool |
920 |
917 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,016 |
981 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
108 |
$23K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
52 |
52 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
67 |
67 |
$14K |
| 99382 |
|
64 |
64 |
$14K |
| 92552 |
|
3,148 |
3,076 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,187 |
1,177 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,685 |
1,859 |
$10K |
| 96127 |
|
7,636 |
7,427 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,259 |
1,224 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$5K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
17 |
17 |
$5K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
13 |
13 |
$5K |
| 99177 |
|
4,321 |
4,316 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,093 |
1,082 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,479 |
1,444 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,312 |
1,117 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 0012A |
|
74 |
74 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
387 |
373 |
$3K |
| 0011A |
|
41 |
40 |
$2K |
| 82947 |
|
1,333 |
1,264 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,146 |
1,117 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
79 |
61 |
$1K |
| 87807 |
|
335 |
326 |
$1K |
| 90461 |
|
137 |
137 |
$1K |
| 81003 |
|
1,782 |
1,710 |
$950.97 |
| 90674 |
|
70 |
68 |
$871.52 |
| 0071A |
|
20 |
19 |
$800.00 |
| 87806 |
|
89 |
87 |
$750.41 |
| 99406 |
|
87 |
77 |
$722.73 |
| 99441 |
|
73 |
73 |
$622.38 |
| 0072A |
|
12 |
12 |
$480.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,210 |
2,102 |
$450.15 |
| Q3014 |
Telehealth originating site facility fee |
28 |
27 |
$299.68 |
| 81025 |
|
108 |
98 |
$290.92 |
| 90651 |
|
52 |
52 |
$224.16 |
| 86703 |
|
56 |
54 |
$176.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
196 |
$162.98 |
| 82570 |
|
127 |
126 |
$155.38 |
| 99051 |
|
14 |
14 |
$148.50 |
| 82044 |
|
121 |
120 |
$132.30 |
| 94760 |
|
1,271 |
1,158 |
$92.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
92 |
90 |
$59.52 |
| 85018 |
|
70 |
55 |
$54.94 |
| J7050 |
Infusion, normal saline solution, 250 cc |
121 |
119 |
$50.92 |
| 92551 |
|
24 |
24 |
$45.66 |
| 82948 |
|
72 |
72 |
$39.60 |
| 90686 |
|
73 |
73 |
$16.42 |
| 99173 |
|
4,680 |
4,591 |
$3.05 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,209 |
2,095 |
$0.16 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
884 |
857 |
$0.15 |
| 1160F |
|
2,033 |
1,880 |
$0.00 |
| 90715 |
|
81 |
81 |
$0.00 |
| 1159F |
|
2,361 |
2,196 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
112 |
103 |
$0.00 |
| 90670 |
|
89 |
87 |
$0.00 |
| 3078F |
|
110 |
104 |
$0.00 |
| 90633 |
|
78 |
78 |
$0.00 |
| 90658 |
|
23 |
23 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
29 |
26 |
$0.00 |
| 99000 |
|
919 |
858 |
$0.00 |
| 1126F |
|
1,980 |
1,940 |
$0.00 |
| 3008F |
|
1,016 |
966 |
$0.00 |
| 1125F |
|
467 |
445 |
$0.00 |
| 90723 |
|
56 |
55 |
$0.00 |
| 36416 |
|
26 |
25 |
$0.00 |
| 90647 |
|
15 |
15 |
$0.00 |
| 99429 |
|
47 |
47 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |